Herold H Z, Arielly A
Int Surg. 1982 Jul-Sep;67(3):261-5.
Twenty open and severe forearm fractures treated either immediately following crush injury or after primary treatment in other hospitals are reported. Soft tissue coverage required repeated debridement and skin grafting. Internal bone fixation was either delayed, primary or secondary, while tendon and nerve repair was always postponed. Two patients with avascular gangrene required amputation: six were initially placed in a plaster cast (in five there was non-union and in one, malunion); in five intramedullary nailing was used (in two there was non-union); in seven in whom compression plating was used for primary bone fixation and those in whom it was used for treatment of non-union after other methods of fixation, solid union was always obtained.
报告了20例开放性严重前臂骨折患者，这些患者要么在挤压伤后立即接受治疗，要么在其他医院接受初步治疗后再接受治疗。软组织覆盖需要反复清创和植皮。内固定要么延迟、一期进行，要么二期进行，而肌腱和神经修复总是推迟。2例出现无血管性坏疽的患者需要截肢；6例最初采用石膏固定（5例出现骨不连，1例出现畸形愈合）；5例采用髓内钉固定（2例出现骨不连）；7例采用加压钢板进行一期骨固定，以及在采用其他固定方法后用于治疗骨不连的患者，均获得了牢固愈合。
